- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,761.90 / $45,681.50 / $74,251.60
| Facility | | $26,761.90 | $45,681.50 | $74,251.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36,863.71 / $36,928.57 / $43,190.35
| Facility | | $36,863.71 | $36,928.57 | $43,190.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23,086.23 / $36,296.21 / $57,260.78
| Facility | | $23,086.23 | $36,296.21 | $57,260.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21,275.80 / $38,636.55 / $71,435.92
| Facility | | $21,275.80 | $38,636.55 | $71,435.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26,753.11 / $41,304.47 / $54,985.69
| Facility | | $26,753.11 | $41,304.47 | $54,985.69 |